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HomeMy WebLinkAboutPermit Building 1992-8-10 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Olfice: 726.3759 .. SPRINGFIELD LOCATION OF PIlOPOSED wonK: _. '73 5,'v ASSESSORS MAP: _1.2/J?" 2-7 J:cWZ! 6~A_L 2-4 . LOT: BLOCK' c() UA"-1...-- SCAIl ~L' ~_G~.e.~V\V'I OWNER: ~~ ADDRESS: ~~::X~ CITY: IS, ~ DESCRIBE WORK: _A/ ~) .V) NEW REMODEL ADDITION (:)viv'Z. STATE: OR - Cl2/{)R> 8 ,; 4(~( JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 , "! TAX LOT' 2Qcro SUBDIVISION' PHONE: -=:l1I-1a 1..9 L. ZIP:~ DEMOLISH OTHER Mi ~rA'~~ - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: __._._____ l,tEAT SOURCE: RANGE" REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. ~ Rough Electrical - Prior to ...over. D Electrical Service - Must be approved 10 obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~rnmln{) - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior 10 taping. D Wood Stove - After Installatlon. D Insert - After fireplace approval and InstallatIon of unit. o Curbcul & Approach - After 1m illS arc oroetoel but prlol to placement 01 concrete. Ju~ CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR · GENERAL --E-'~--lk4;;IiIL&tI. -- -;T.~ ~/5 S- " 2t3?'/6 &/?I-<-<?'S miG ~/ I LUMBtNG: --' - --.----- MECHANICAl' ELECTRICAl' QUAD AREA: _.. _ . OF BLDGS: __ _ OCCY CRour':_ . OF STORIES: WATER HEATER: EXPIRES Y /15',3 PHONE ?f''f .-I'Jtj? FLOOD PLAIN: ZONING CODE: . OF BDRMS: _ SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726-3769. Tills Is a 24 hour recordIng. Alllnspoctlons requested before 7:00 a.m. will be maclc the same working clay. inspections requesled after 7:00 a.m. will be made the following work day. o Temporary Electric D Sito Inspection - To be made after excavation, but prior to setting forms. o Underslab PlumbingfEfeclrical1 Mechanical - Prior to cover. D Footing - After trenches are excavated. D Mnsonry - Stool location, bond beams, grouting. D Foundation - After forms are creetcu but prior to concrete placement. D Underground Plumbing - _Prior to filling trench. D Underlloor Plumblngl Mechanical _ Prior to Insulation or decklnn. D Post and Beam - PrIor to floor Insulation or decking. D Floor Insulation - Prior to deckina. D Snnitary Sewer - Prior to filling trench. D Storm Scwer - Prior to filling trench. D Watcr Line - Prior to filling trench, D Rough Plumbing - Prior to cover. D Sidewalk & Driveway - Alter oxcavation Is complete, forms and sub.base material In place. D Fence - When completed, D Street Trees - When all required trees are planted. D Final Plumbing - When all plumbing work Is complet.e, ~ Final Eleclrlcal - When all ~electrlcal work Is complete. D Final Mochanfcal - When all mechanical work Is complete. r\:7r Final Building - When all ~equlred Inspections have been approved and building is completed. DOlher MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sower, D Electrical Connection - When blocl<lng. set.up, and plumbing Inspections hove been approved and the home Is connected to the service panel. D Final - Alter all roqulred Inspections are approved and porches, sklrtln'g, decks, and venting have been installed. Lot faces Lol Type" Interior Setbacks .--r--I--'~ P.L. HSE GAR ACC Lot coverage Corner N ~HE PROPOSED WORI< IN THE ~TORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application rnu5t be signed and approved by the Historical Coordinator prior to permit issuance. Lot sq. fig. Topography Totai height Panhandle 2....- _ --- .:!'!- - --- Cul.de.sac ~E APPROVED: BUILDING PERMIT ITEM SO. FT. X $fSO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Carport This permit is granted on the express condition thaI the said construction shall, in all respects, conform to tllO Ordinance adopted by tile City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked al any time upon violation of any proVisions of said ordinances. Main Garage Building Permit Fee J .5"tJ Os) /560 .75" /5.?s:' SYSTEMS DEVELOPMENT CHARGE (SDC) ~/A- Plan Check Fcc: ___ Date Paid: . Total Value Receipt Number: /hl/VI Received By: State Surcharge Total Fee (A) Plans Reviewed By Dale (B) Systems Development Charge i~ due on all undeveloped propertles wllhin tile City limits which arc beinu improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing PermIt Slate Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan N' By signature, I slate and agree, that I have cmefully examined the complcled application and do hereby cerlily thaI all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance wilh the Ordinances of the City of Springfield, and the Laws of the Slate of Oregon pertaining to the worl~ described herein, and that NO OCCUPANCY will 'be made of any struclure without permission of the Building Safety Division. I further certify ttlat only contractors and employees who arc in compliance Witll ORS 701,055 will be used on this projecl. Exhaust Hood Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensure Ihat all required inspections arc requested althe proper time, thaI each ad<.llcGG is readable from the slreet, that tllO permit card is located at the front of the property, and tile npprovcd set of plans will remain on the Si~e . all limes durln(l COn:lruCllon. Slgnalllrc _ J... / G/J ~ Dale4- O-~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fI Curbcut fI Demolition State Surcharge VAll DATION: RECEiVED BY 5'~JeI 95 -//J/?? ~7./ L ' ~ -*-z..., RECEIPT NUMBEfl Total Miscellaneous Permits (E) DATE PAID TOTAL AMOUNT DUE (excluding electrlcai) (A, B, C, 0, and E Combined) /'F;7S' AMOUNT nECEIVED